Evaluasi biaya pelayanan kesehatan Gakin di RSU Panembahan Senopati Bantul dan RSU Wates Propinsi DIY Tahun 2004

YUSRIZAL, drg. Julita Hendrartini, M.Kes

2006 | Tesis | S2 Ilmu Kesehatan Masyarakat (Kebij. Pembiayaan da

Latar belakang. Pada tahun 2003 Propinsi Daerah Istimewa Yogyakarta ditunjuk sebagai salah satu daerah uji coba JPK Gakin dengan pendekatan asuransi kesehatan sosial. Dari hasil observasi diketahui adanya variasi diantara rumah sakit yang melayani gakin di DIY. RSU Panembahan Senopati Bantul dan RSU Wates merupakan dua rumah sakit yang melayani pasien gakin terbanyak di DIY. Tujuan. Untuk mengetahui variasi biaya pelayanan gakin di RSU Panembahan Senopati Bantul dan RSU Wates dan komponen biaya yang terbesar dalam pelayanan tersebut. Metodologi. Jenis penelitian ini adalah penelitian deskriptif. Data yang di gunakan adalah data sekunder dari hasil rekapitulasi biaya pelayanan pasien gakin yang dirawat inap di RSU Panembahan Senopati Bantul dan RSU Wates pada periode tahun 2004 dengan unit analisis pelayanan gakin di rumah sakit. Hasil. Rata-rata lama rawat kasus partus, GEA dan febris pada pasien keluarga miskin di RSU Bantul dan RSU Wates relatif sama, berkisar 4-5 hari. Hanya rata-rata kasus typhoid di RSU Bantul lebih lama (6,53 hari) dibandingkan lama rawat di RSU Wates (4,65 hari). Rata-rata biaya pelayanan di RSU Bantul lebih tinggi dan hanya rata-rata biaya kasus febris yang relatif sama. Rata-rata biaya pelayanan di RSU Bantul untuk kasus partus sebesar Rp. 859.612,24, GEA sebesar Rp. 674.332,58 dan typhoid sebesar Rp. 959.312,63, sedangkan di RSU Wates rata-rata biaya untuk kasus partus sebesar Rp. 441.804,22, GEA sebesar Rp. 376.754,03 dan kasus typhoid sebesar Rp. 390.589,71. Rata-rata komponen biaya pelayanan kesehatan keluarga miskin di RSU Bantul lebih besar dibanding RSU Wates. Selisih biaya akomodasi dan obat sekitar 2 kali lipat, selisih biaya pelayanan medis sekitar 3 kali lipat dan biaya tindakan medis sekitar 5 kali lipat. Kesimpulan. Biaya pelayanan kesehatan di RSU Panembahan Senopati Bantul lebih tinggi dibandingkan RSU Wates, khususnya biaya yang digunakan untuk penunjang medis dan tindakan medis.

Background: In 2003 Province of Yogyakarta Special Territory was chosen as one of pilot projects of health care insurance for poor family using social health insurance approach. The result of observation shows there is variation among hospitals serving poor families at Yogyakarta Special Territory. Panembahan Senopati Hospital of Bantul and Wates Hospital are hospitals serving biggest number of poor families at Yogyakarta Special Territory. Objective: To identify variation of health cost for poor family at Panembahan Senopati and Wates Hospital and components of greatest cost in their service. Method: This was a descriptive study. Data used were secondary data from recapitulation of health cost of poor family patients hospitalized at Panembahan Senopati and Wates Hospital in 2004 with service for poor family as analysis unit. Result: Average length of care for cases of partus, acute gastroenteritis and febris was relatively the same, about 4 – 5 days. However, average of typhoid case at Panembahan Senopati Hospital was longer (6.53 days) than at Wates Hospital (4.65 days). Average cost of service at Panembahan Senopati Hospital was higher and only average cost of febris case was relatively the same. Average cost of service at Panembahan Senopati Hospital for partus case was as much as Rp 859,312.63, acute gastroenteritis was Rp 674,332.58 and typhoid was Rp 959,312.63, whereas at Wates Hospital average cost for partus case was as much as Rp 441,804.22, acute gastroenteritis was Rp 376,754.03 and typhoid was Rp 390,589.71. Average component of health service cost for poor family at Panembahan Senopati Hospital was higher than at Wates Hospital. Difference cost of accomodation and drugs was twofold, difference cost of medical service was threefold and cost of medical treatment was fivefold. Conclusion: Cost of health service at Panembahan Senopati Hospital of Bantul was higher than at Wates Hospital, particularly cost used for medical support and treatment.

Kata Kunci : Kebijakan Kesehatan,Biaya Layanan Kesehatan,Keluarga Miskin